Prospective randomized trial of high versus low negative pressure suction in management of chyle fistula after neck dissection for metastatic thyroid carcinoma

Head & Neck ◽  
2011 ◽  
Vol 34 (12) ◽  
pp. 1711-1715 ◽  
Author(s):  
Gaosong Wu ◽  
Xiaofei Chang ◽  
Yun Xia ◽  
Wei Huang ◽  
Wayne M. Koch
Keyword(s):  
Thyroid Carcinoma ◽  
Randomized Trial ◽  
Neck Dissection ◽  
Negative Pressure ◽  
Prospective Randomized Trial ◽  
Pressure Suction ◽  
Chyle Fistula

Negative-Pressure Vacuum Therapy for High-Output Chyle Leak Following Neck Dissection

2020 ◽  
Vol 15 (5) ◽  
pp. 481-483
Author(s):  
Guy Pines ◽  
Liron Malka Yosef ◽  
Li Or Lazar ◽  
Ilan Bar ◽  
Doron Schindel
Keyword(s):  
Effective Treatment ◽  
Neck Dissection ◽  
Negative Pressure ◽  
Vacuum Therapy ◽  
High Morbidity ◽  
Chyle Leak ◽  
Surgical Interventions ◽  
Vac Therapy ◽  
Chyle Fistula ◽  
High Output

Chyle fistula is a challenging complication following neck dissection carrying a high morbidity and mortality rate. Herein we present a challenging case of successful management of high-output left-sided cervical chyle fistula with negative-pressure vacuum (VAC) therapy in a case where all conservative treatments failed. A 40-year-old man with lymphoma and supraglottic carcinoma underwent endoscopic resection and bilateral neck dissections. He developed high-output chyle fistula, nonresponsive to conservative treatments. Double-layered Vicryl mesh was placed between the sponge and the jugular vein to prevent vascular injury. Immediately after initiation of the VAC therapy, the output decreased, and completely stopped after 3 days. The VAC therapy was continued for additional 5 days to ensure complete seal of the fistula by granulation tissue, by which time the wound was primarily closed. VAC therapy seems to be a safe and effective treatment for high-output cervical chyle fistula following neck dissection, avoiding complex surgical interventions. Thoracic surgeons should be aware of this low-morbidity and potentially effective treatment modality for this challenging complication.

Role of acute negative pressure wound therapy over primarily closed surgical incisions in acetabular fracture ORIF: A prospective randomized trial

Injury ◽  
2017 ◽  
Vol 48 (7) ◽  
pp. 1518-1521 ◽  
Author(s):  
Brett D. Crist ◽  
Lasun O. Oladeji ◽  
Michael Khazzam ◽  
Gregory J. Della Rocca ◽  
Yvonne M. Murtha ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Negative Pressure ◽  
Acetabular Fracture ◽  
Negative Pressure Wound Therapy ◽  
Prospective Randomized Trial ◽  
Wound Therapy ◽  
Surgical Incisions

Use of ultrasonic scalpel and monopolar electrocautery for skin incisions in neck dissection: a prospective randomized trial

2018 ◽  
Vol 22 (2) ◽  
pp. 169-175 ◽  
Author(s):  
Daniel Schneider ◽  
Kai Goppold ◽  
Peer W. Kaemmerer ◽  
Gerhard Schoen ◽  
Michael Woehlke ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Neck Dissection ◽  
Prospective Randomized Trial ◽  
Ultrasonic Scalpel ◽  
Monopolar Electrocautery

scholarly journals A Multicenter, Prospective Randomized Trial of Negative Pressure Wound Therapy for Infrainguinal Revascularization Groin Incisions

2020 ◽  
Vol 72 (3) ◽  
pp. e286
Author(s):  
Daniel Bertges ◽  
Lisa Smith ◽  
Rebecca Scully ◽  
Mark Wyers ◽  
Jens Eldrup-Jorgenson ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Prospective Randomized Trial ◽  
Wound Therapy

Negative pressure wound therapy for serious dog bites of extremities: a prospective randomized trial

2016 ◽  
Vol 34 (6) ◽  
pp. 1006-1010 ◽  
Author(s):  
Chen Rui-feng ◽  
Huang Li-song ◽  
Zheng Ji-bo ◽  
Jia Yi-qing ◽  
Liu Yu-jie ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Prospective Randomized Trial ◽  
Wound Therapy ◽  
Dog Bites

scholarly journals High-output chyle fistula treated with octreotide after neck dissection for papillary thyroid carcinoma

2018 ◽  
Vol 47 (1) ◽  
Author(s):  
Felipe Toyama Aires ◽  
Felipe Augusto Brasileiro Vanderlei ◽  
Raquel Ajub Moyses ◽  
Claudio Roberto Cernea ◽  
Marcos Roberto Tavares
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Papillary Thyroid ◽  
Chyle Fistula ◽  
High Output
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